Clarence A Parks, MD | |
1645 W Jackson Blvd, Suite 215, Chicago, IL 60612-3276 | |
(312) 942-6800 | |
(312) 942-3551 |
Full Name | Clarence A Parks |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 27 Years |
Location | 1645 W Jackson Blvd, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245203512 | NPI | - | NPPES |
036105351 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036105357 (Illinois) | Secondary |
208000000X | Pediatrics | 036-105357 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fhn Memorial Hospital | Freeport, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Freeport Memorial Hospital | 8426958232 | 98 |
Freeport Regional Health Care Foundation | 9234041682 | 91 |
Entity Name | Freeport Regional Health Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
Entity Name | Freeport Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
Mailing Address | Practice Location Address |
---|---|
Clarence A Parks, MD 1645 W Jackson Blvd, Suite 215, Chicago, IL 60612-3276 Ph: (312) 942-6800 | Clarence A Parks, MD 1645 W Jackson Blvd, Suite 215, Chicago, IL 60612-3276 Ph: (312) 942-6800 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 |